A 25-year-old male was brought to the emergency department after a road traffic accident. On initial assessment, he had a Glasgow Coma Scale (GCS) of 15 and reported two episodes of vomiting. However, he subsequently developed amnesic events and his GCS dropped to 8.

• The CT Scan

  • CT scan offered to candidate
  • What can you see on this CT scan?
  • Compare the appearance of an EHD & SDH on a CT scan.
  • Would you consider doing a CT head for this patient? why?
  • What are the Nice Guidelines indications for offering a CT head to patients with head injury?
  • What are the Nice Guidelines indications for intubating patients with head injury?
  • What is the patient's GCS?
  • What are the advantages & disadvantages of whole-body CT?
  • What are the advantages & disadvantages of a tracheostomy tube?
  • Management of an intracranial Hemorrhage?

• ICP

  • What is the normal value of ICP and how can you measure it?
  • What is the danger of lumbar puncture in increased ICP?
  • Clinical picture of increased ICP?
  • What is the Cushing reflex?
  • Pathophysiology of increased ICP in this patient?
  • What is a lucid interval?
  • Management of raised ICP?

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